PHILBERT WALCOTT

NEW YORK, NY
NPI1013336262
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  17361)
Enumeration Date2014-04-15
Last Update Date2014-04-15
Business Address
-- PHILBERT WALCOTT CASAC
177 EAST 122ND STREET
NEW YORK, NY 10035
Phone number: 212-360-7116
Mailing Address
-- PHILBERT WALCOTT CASAC
3422 KNOX PLACE APT. 2B
BRONX, NY 10467
Phone number: 718-881-3905